Failure to Maintain Safe, Clean, and Homelike Environment for Residents
Penalty
Summary
Surveyors identified that the facility failed to provide a safe, clean, and homelike environment for its residents, as evidenced by multiple observations and interviews. Two residents were found living in rooms with significant cleanliness and maintenance issues, including broken furniture, soiled and dusty surfaces, stained and dirty curtains, and unclean bathrooms with foul odors and visible stool. One resident, moderately cognitively impaired with Alzheimer's disease, was observed in a room with a broken closet door, food crumbs, dirt, soiled clothing, and a bathroom with dried stool and grime. Another resident, severely cognitively impaired with dementia and ADHD, was found in a room with broken furniture, stained recliner, soiled curtains, and a broken bed footboard. Both residents' rooms had air conditioning units and dressers with dried spills and dust buildup, and staff confirmed these conditions during the survey. Further observations revealed that the facility's cleaning practices were inadequate. Housekeeping staff reported that deep cleaning was only performed for major messes, and that certain areas, such as the edges of floors and privacy curtains, were not routinely cleaned. The second-floor shower room, used by all residents on that floor, had a dirty floor with scum buildup, a rusted bedside commode, and a ceiling with mold and peeling paint. Additionally, the third-floor resident lounge contained worn and ripped chairs. Facility policy required staff to report furniture in disarray and maintain a sanitary environment, but these standards were not met, affecting not only the two residents observed but also potentially impacting 78 additional residents on the second and third floors.